Pet Resort Boarding Request
A staff member will call you to confirm your request for boarding. Please note your requested date and time may not be available. Please have an alternate time and/or date determined to play it safe. PLEASE NOTE: Our facility requires your pet is current on all mandatory vaccinations; plus Bordetella, Influenza, must be on heartworm preventative, and pest free (fleas, ticks, mites, and or lice etc.).
Are You A Current Client Or New Client?
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Current Client
New Client
Your Name
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First Name
Last Name
Your Pet's Name(s)
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Please Enter Your Pet's Name Here (if your are making an appointment for multiple pets, please list all pets for the appointment)
If you have multiple Pets Please Enter all pets and their species! ie. Johnny - Feline, Jake - Canine, Tonka - Kangaroo
Your E-mail
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Cell Number
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Area Code
Phone Number
Home Or Work Number
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Area Code
Phone Number
BOARDING START DATE
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Month
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Day
Year
Date
BOARDING END DATE
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Month
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Day
Year
Date
Pets are bathed on the day of pick up indicated. What time will you be picking up your pet?
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1
2
3
4
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Hour
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10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Is Your pet current on all vaccinations (If you are not sure please select "I don't know"
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YES
NO
NO BUT I GIVE PERMISSION TO GET MY PET ALL NEEDED VACCINATIONS
YES, BUT ANOTHER VETERINARIAN ADMINISTERED VACCINE AND I WILL EMAIL PROOF TO SEBBYVETCLINIC78666@GMAIL.COM
I DON'T KNOW CAN YOU HAVE SOMEONE HELP ME?
Is Your Pet On Heartworm Preventative?
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YES
NO
I DON'T KNOW
PLEASE HELP ME PICK THE BEST PREVENTATIVE
If You Answered Yes to the the question above; what is the name or brand you currently use?
Current Heartworm Preventative
Is Your Pet On Flea Preventative?
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YES
NO
I DON'T KNOW
PLEASE HELP ME PICK THE BEST PREVENTATIVE
If You Answered Yes to the the question above; what is the name or brand you currently use?
Current Heartworm Preventative
Emergency Contact Information (Please provide full name and a cell phone number for this contact person)
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Emergency Contact Person
Please list your pets belongings (toys, carrier, etc.):
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List all pets belongings please. If you are not bringing pets personal items please enter "NONE".
Please list any current medications and dosage instructions if your pet is currently prescribed any medications:
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If your pet is not currently on any prescribed medication please enter "NONE".
Known Allergies or dietary restrictions?
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If your pet is not currently on any prescribed medication please enter "NONE".
Any other comments, special notes or instructions and/or questions?
Please leave notes or specific requests and instructions here!
Pet Resort Add On Services (Optional) - If You wish to decline add on services please leave blank!
Please verify that you are human
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Signature
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